Provider Demographics
NPI:1407830540
Name:SINGLETON VISION CENTER
Entity Type:Organization
Organization Name:SINGLETON VISION CENTER
Other - Org Name:DAVIDSON EYE CLINIC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:SINGLETON
Authorized Official - Suffix:
Authorized Official - Credentials:DO, FACS
Authorized Official - Phone:252-514-2155
Mailing Address - Street 1:3515 TRENT RD
Mailing Address - Street 2:SUITE 9
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562-2220
Mailing Address - Country:US
Mailing Address - Phone:252-514-2155
Mailing Address - Fax:252-514-0303
Practice Address - Street 1:3515 TRENT RD
Practice Address - Street 2:SUITE 9
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562-2220
Practice Address - Country:US
Practice Address - Phone:252-514-2155
Practice Address - Fax:252-514-0303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-02
Last Update Date:2016-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC016PAOtherBCBS PROVIDER NUMBER
NC89016PAMedicaid
NC89016PAMedicaid
NCDC4834Medicare ID - Type UnspecifiedRR MEDICARE GROUP NUMBER